First of all, thanks Andy for sharing your experiences with us. I have had an enlarged prostate for about
15 years. about
10 weeks ago I underwent the XPS 180 watt greenlight here in the US for the enlarged prostate. For about
5 months prior to that I was using flomax .4 mg per day (actually the generic version tamsulosin). about
30 months ago I had the TUMT procedure to widen the urethra with a microwave. Three months prior to the TUMT I had used the flomax as well. Prior to my Greenlight I did everything I could to avoid the surgery, but I got to the point where the flomax stopped working and I was experiencing retention on a nightly basis. A shot of whisky and a ten minute walk generally got me urinating but I had catheters on hand and used them a half dozen times. I reviewed the Gat Goren method and it seemed promising, but Medicare paid for the Greenlight, and I wasn't keen on leaving the country. Prior to the Greenlight I had a PSA of 6.3, but after researching I decided to use watchful waiting. I wouldn't address it unless/until I had specific symptoms and / or my PSA was over 10. At 66, a slow moving PC has a low chance of being fatal. So I decided to only address an aggresive one, if it should come up. My urologist was trained in Greenlight to leave a bit of tissue just above where the ejaculate enters the urethra, which directs the ejaculate out the penis instead of into the bladder. He claims his patients don't get retrograde ejaculation, and he was correct. I didn't. Here's some things I learned about
my own condition.
1. The flomax only worked for 4 to 5 months for me, then became innefective.
2. The TUMT only worked for 12 months.
3. The recovery from the Greenlight was about
10 weeks. The pain and burning was horrific for the first 7 weeks, but is fine now.
4. I had a very large prostate - 120 grams. about
a third of it was protruding into my bladder. My doctor said it was full of pus, indicating long term chronic prostatitis as well. He used up 2 greenlight tips. The procedure took 70 minutes, in his office surgical suite, under "twilight anesthesia".
5. Before the procedure I was getting up 5 to 6 times a night and experiencing retention for 10 minutes or so in the early morning hours. I was also only going a few ounces each time. Now I am getting up 2 to 3 times a night and going about
4-8 ounces at a time with a very good stream.
6. One of the things I was looking into was the injection of NYMOX-1207 and/or injection of Botox into the prostate. Both of these procedures kill prostate tissue and have been in trials here and abroad for nearly a decade. They report 1 to 3 years of results equivalent to taking flomax with a single round of injections. No side effects have been reported. However after 10 years of trials, neither has been submitted to the FDA for approval. Why? I have no idea. I have a feeling that if Gat Goren came to the US, it would suffer a similar fate, years and years of trials without being submitted for approval.
7. The whole problem of BPH and or PC is an enormous one, but medicine is a business, and it's practitioners all march in lock step to avoid liability. In the US there are 100,000 deaths a year due to hospital infections and another 100,000 due to drug interactions (legally prescribed drugs only). There is zero liability for anyone involved, because standard procedures have been deemed to have been followed. I'm pretty sure the family of the deceased still has to pay the medical bills for the procedure that killed the patient. But doctors continue to claim the decades of FDA trials are for our protection.
Post Edited (Bob_NJ) : 9/6/2012 4:51:07 PM (GMT-6)